Individual
GRACE L. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 SHERMAN ST, ISLAND FALLS, ME 04747-4415
(207) 463-2034
Mailing address
PO BOX 42, ISLAND FALLS, ME 04747-0042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
XL4025
ME
101YP2500X
Professional Counselor
Primary
XL4025
ME
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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